The letter provides advice and guidance on what it means to be at high risk, information relating to the support available, going to work, accessing NHS services and mental health support, as well as guidance on avoiding areas identified as being in a local lockdown. Other NHS organisations, Government departments and local authorities. They are sharing relevant information from the Shielded Patient List with organisations who have responsibilities for providing care and support to the patients on the List. Trouble signing in? The clinical criteria were identified by the UK Chief Medical Officers. Shielded patients list: guidance for General Practice Guidance to ensure the right patients are identified as at high risk from developing complications from coronavirus (COVID-19). If unsure, please request advice from a specialist on whether the patient should be considered clinically extremely vulnerable, using an ‘advice and guidance’ approach where appropriate. The SPL is used to provide current information, advice, guidance and to offer support across health and care to those who are at the highest risk. Specialists have been asked to prioritise supporting GPs with these decisions. Severe asthmatics are those who are frequently prescribed high dose steroid tablets. You should flag any patients you identify as high risk by adding the SNOMED CT code to their patient record. You will need to provide your COVID-19 lead with: The submission window will be open daily between 8am and 5pm. Shielded patients list – latest guidance. This is not the latest release in the series: Shielded Patient List in Wales during the coronavirus (COVID-19) pandemic. We expect this letter to be published on Saturday 28 November on the GOV.UK website. It does not capture patients who receive care in a different country or are treated by a private hospital. related complications and, as a consequence, be placed on the Shielded Patient List (SPL). Your clinician or GP has added you to the Shielded Patient List because, based on their clinical judgement, they deem to you be at higher risk of serious illness if you catch the virus. Guidance for people with lymphoma on the shielded patient list Some people are considered to be at high risk of severe illness from coronavirus (COVID-19). Shielding is a public health measure announced at the start of the COVID-19 pandemic. The information also flows to Local Authorities to allow them to provide targeted support to high risk patients within their authority boundaries, before, during and after a lockdown, offering help, social care and support as part of the local COVID-19 response. New conditions added to shielded patient list ahead of England-wide lockdown. Local councils are working with voluntary sector organisations and local communities to support residents in the response to coronavirus (COVID-19). You should also write to patients who you have previously been on the Shielded Patient List and now are assessed as being at low or moderate risk. For the latest guidance please visit the following sources: GOV.UK – for the latest updates on shielding guidance from Public Health England, as well as information on the Government support offer for those on the Shielded Patients List (SPL). 733194007 - Dementia co-occurrent and due to Down syndrome (disorder). The guidance updates the original shielded patients list, which was published in the early days of the pandemic. The government has provided advice on employment and financial support. You can signpost patients to GOV.UK to find their local council website to get more information. Two updated Word templates for patient additions were sent to Trusts in November 2020 and can also be downloaded below: The CKD template should be used for all those patients identified in this category as per the specific guidance on the condition above. Time to complete: 15 minutes Date of publication: April 2020 Reviewed and updated: November 2020 . Shielded patients list – latest guidance Important information – Scam calls We have been made aware of scam calls where shielding letters, testing or track and trace for COVID-19 are being used as a way of getting personal information.Before you give away any personal information, verify who you are talking to or talk to someone you trust. For the latest guidance please visit the following sources: GOV.UK – for the latest updates on shielding guidance from Public Health England, as well as information on the Government support offer for those on the Shielded Patients List (SPL). You should write to your patients if you identify them as being at high risk of complications from COVID-19. Those at the highest risk were advised not to leave the house at all for 12 weeks. The “high risk” list was defined as a subset of a wider group of people who may be “at risk”. The Royal College of Paediatrics and Child Health (RCPCH) has today published guidance for clinicians about the shielding of clinically vulnerable children and young people. The data must be submitted by a named contact in the trust. • Well-controlled patients with minimal disease activity and no co-morbidities5 on single agent standard oral immunosuppressant1 plus hydroxychloroquine or sulfasalazine. NHS.UK – provides patient-facing information on health services and medical conditions. The new guidance in England and Wales for shielded patients follows the announcement on 31 st May 2020 from Dr Jenny Harries, senior medical advisor to the government, that the risk of catching COVID-19 for the general public, when outside, is ‘very low’ and in general, the risk of catching the virus has gone from 1 in 40 to 1 in 1000. For further information on the first two groups above please see the guidance earlier on this page. These patients are identified by a low or moderate risk flag in your GP system. As such, it is important that those involved in the identification and review of patients at high risk within the trust and trust data teams understand the responsibilities outlined below. You'll have to add the link to the website in your 'Compatibility View Settings'. The lists are distributed via our Secure Electronic File Transfer (SEFT) system. For information, the following are those SNOMED-CT codes used nationally to identify Down’s syndrome on a patient record: 205615000 - Trisomy 21- meiotic nondisjunction (disorder) The CMO sent a letter on 21 March asking practices to identify additional patients who may be known as being at highest clinical risk. Adults with Down's syndrome and those with stage 5 chronic kidney disease should be added to the shielded patient list, NHS England has told practices, ahead of the nationwide lockdown this week. Following a review of the evidence since the start of the pandemic about which people are more likely to become very unwell as a consequence of COVID-19 infection, the UK Chief Medical Officers have instructed that two new conditions be included in the “high risk” criteria: The national methodology has been updated to identify patients with these conditions. An updated Word template of the letter was sent to Trusts in early December. We would recommend that you use Internet Explorer 11 and Java version 8 when using the transfer tool. 3. Summary data of living patients on the shielded patient list (SPL) in Wales as at 15 June 2020. Identify adults (18+) with CKD 5 (or G5 A1-3) not on renal replacement therapy (dialysis and renal transplantation), defined as: 2. • Annex 2 sets out key points about local lockdown measures and how they relate to shielding and protecting people who are considered clinically extremely vulnerable. Shielded patient list Your Shielded Patient List must be complete and as accurate as possible so that individual patients are given the most appropriate advice. Avoid places where you can't stay at least 2 metres from other people ('one metre zones'). We know this is an extremely challenging time for practices. All adult patients (aged 18 years or over) with Down’s syndrome should be identified and flagged as “high risk”. shielded patient lists are kept up to date in line with current clinical advice. The information flows to Cabinet Office to allow them to run the shielded patient service which will provide further support for local and regional lockdowns. New conditions added to shielded patient list ahead of England-wide lockdown. The NHS has produced a list of people at “high risk” of complications from COVID-19, who should be shielded for at least 12 weeks. If you have not received a list for a given week, this is because we have not identified any patients on the SPL under your care for that period. Shielded patients list guidance for hospital trusts. It is updated weekly with GP data. Children and Young people . Link to the information on the methodology that has been used to identify patients who meet the high risk criteria for contracting coronavirus can be found on this page. This means that all pharmacies and dispensing doctors in England will again be required to ensure patients on the Shielded Patient List receive their medicines at home. 3 July 2020. You should regularly review those of your patients on the SPL and consider the impact on their care. It is matched with the registrations made by patients and then used to co-ordinate support, for example priority with online shopping. All other “high risk” patients should receive the updated high risk patient addition letter above. The NHS will maintain the Shielded Patient List to ensure that we continue to provide the best advice to those identified as clinically extremely vulnerable. Identifying patients as at high risk from coronavirus enables appropriate advice and guidance to be provided to those patients in the event of a local, regional or national coronavirus outbreak. The list will be available for download via SEFT to those individuals nominated to manage COVID-19 data within your Trust. People with rare diseases and inborn errors of metabolism that significantly increase the risk of infections (such as SCID, homozygous sickle cell), People on immunosuppression therapies sufficient to significantly increase risk of infection, People who are pregnant with significant congenital heart disease. Each … Timeline . 4. Please open the documents below for information on the methodology that has been used to identify patients who meet the high risk criteria for contracting coronavirus. Updated guidance with changes that apply from 6 July 2020. Once deducted, the patient will no longer be included on the NHS Shielded Patient List. 724644005 - Myeloid leukemia co-occurrent with Down syndrome (disorder) All error messages will be flagged in column N of the collection tool. This article has been updated to include guidance from the latest operating procedure. This should enable more informed decisions where a patient has had multiple points of contact with the NHS, and as appropriate, contact can be made with other organisations prior to a decision on the patient’s ongoing COVID-19 risk status. GP practices have been asked to play a key role in supporting patients who are shielding during the COVID-19 pandemic. Shielded patient list physical activity survey 15th December 2020. This list is referred to as the Shielded Patient List (SPL). NHS Digital’s website for information about the Shielded Patient List. The NHS has produced a list of people at “high risk” of complications from COVID-19, who should be shielded for at least 12 weeks. Your nominated COVID-19 trust lead should follow the process below in “How to submit data” to request patients are removed from the SPL via a submission to NHS Digital. If you have any other questions about the shielded patients list, identifying high risk patients or submitting data, contact us at splquery@nhs.net. GPs can provide some care for shielded patients in clinical settings, NHS England confirms. If there is a single point of contact for paediatric advice in your area this is likely to be the best route for specialist advice in the first instance. The SG Shielding Text Messaging Service will be sending a reminder text to everyone on the shielding list who is registered for this service on Monday 9 November. You should write to your patients if you have identified them as at high risk of complications from coronavirus (COVID-19). This may include providers who also provide Improving Access to Psychological Therapies (IAPT) services, only where they are the same organisation that provides secondary mental health … Advice for people on the shielded patient list at COVID-19 protection level 2: Limit the number of people or households you meet. Updated guidance, please click here for latest information. When sending a list of these patients to your trust’s named COVID-19 data lead(s), please ensure that you have included each patient’s NHS number, date of birth, postcode and consultant, with a request to add these patients to the SPL. Wherever you no longer think a patient should be considered clinically extremely vulnerable, please have a conversation with them about their personal situation and, if they agree, they should be removed from the list. maintaining the shielded patient list (SPL). We are unable to reissue patient letters nationally. GPs can provide care to shielded patients in 'infection-controlled clinical settings' if it is not possible for them to be treated at home, according to new guidance from NHS England. The medicines data collected centrally similarly runs several months behind and only collects medicines dispensed in community pharmacies, not any issued form hospitals. View guidance on reviewing self-referring patients. You should identify patients who are at the highest risk from coronavirus (COVID-19), and make sure they are put on the shielded patients list (SPL). Series information: All releases. Children and young people at “high risk” from COVID-19 should continue to be identified based on the guidance published by the Royal College of Paediatrics and Child Health (RCPCH) and are not included in the two additional conditions above. Specific advice applies to these groups, currently this It includes the following fields: The list of conditions that define patients as needing shielding was signed off by the Chief Medical Officers (CMO) of the four nations of the UK and should be mapped to the disease group fields on the spreadsheet as follows. Sign in. Children and young people at “high risk” from COVID-19 should continue to be identified based on the guidance published by the Royal College of Paediatrics and Child Health (RCPCH) and are not included in the two additional conditions above. As a result, NHS Digital no longer supports any version of Internet Explorer for our web-based products, as it involves considerable extra effort and expense, which cannot be justified from public funds. Some features on this site will not work. This includes: GP practices about their own patients on the List. Familiarise yourself with the updated guidance for clinically extremely vulnerable people when it is published here. We have continued to provide hospital trusts with a weekly list of the patients under their care who appear on the shielded patient list (SPL). Check the latest guidance for people who are clinically extremely vulnerable from coronavirus on GOV.UK Information: Employers can still check a shielding note is valid for an employee for notes issued from 1 August 2020 to 4 October 2020 using the check a shielding note service . For the latest guidance please visit the following sources: GOV.UK – for the latest updates on shielding guidance from Public Health England, as well as information on the Government support offer for those on the Shielded Patients List (SPL). GP data uses terminologies which are more specific (READ or SNOMED CT) but it is reliant upon the application and interpretation of the clinical codes used. Rare, genetic, metabolic and autoimmune, 5. The government uses the term 'clinically extremely vulnerable' (CEV) to describe people in this group. However, despite this, the list now stands at 2.16 million patients – nearly 700,000 more people than NHS England had initially estimated. This list is referred to as the Shielded Patient List (SPL). Letters may start arriving with patients from Saturday 28 November, and throughout the next week (w/c 30 November). Each weekly list is the most current view of the risk status of those patients in your care, and therefore supersedes previous weekly lists. The shielded patient list is updated daily with hospital data, address changes and where patients have passed away. How GP practices should support shielded patients - updated. You should use a modern browser such as Edge, Chrome, Firefox, or Safari. Internet Explorer is now being phased out by Microsoft. Patients identified nationally are selected using a rule set. The first is how we respond to patients who aren't on the shielded list. Identifying vulnerable patient lists The NHS has produced a list of people at “high risk” of complications from COVID-19. You should consider: Following a review of the evidence since the start of the pandemic about which people are more likely to become very unwell as a consequence of COVID-19 infection, the UK Chief Medical Officers have instructed that two new conditions be included in the “high risk” criteria: The national methodology has now been updated to identify patients with these conditions. The CMO letter published on 21 March asked practices to identify additional patients who may be known to practices as being at highest clinical risk. The “high risk” list was defined as a subset of a wider group of people who may be “at risk”. Updated: College advises many children can come off shielded patient list By Jack Serle 2020-06-10T16:19:00 Many children on the shielded patient list can be told they no longer need to be isolated, according to new guidance for clinicians issued by the Royal College of Paediatric and Child Health. If you decide a patient should no longer be included on the Shielded Patient List, you can request that they are deducted. The information also flows back to general practice, hospital Trusts and prison health, by marking the record with a high risk of complications flag. acute kidney injury, acute on chronic kidney disease), The patient's NHS number, date of birth, postcode and consultant, A request to remove the patient from the SPL, 4 - rare genetic, metabolic and autoimmune, 5 - women who are pregnant with significant heart disease, congenital or acquired, 6 - Academy of Medical Royal Colleges (AoMRC) categories – patients identified by Medical Royal College guidance that does not fit into 1 – 5, supporting summary (max 255 char) including supporting ICD-10/OPCS codes, with cancer who are undergoing active chemotherapy or radical radiotherapy for lung cancer, with cancers of the blood or bone marrow such as leukaemia, lymphoma or myeloma who are at any stage of treatment, having immunotherapy or other continuing antibody treatments for cancer, having other targeted cancer treatments which can affect the immune system, such as protein kinase inhibitors or PARP inhibitors, who have had bone marrow or stem cell transplants in the last 6 months, or who are still taking immunosuppression drugs, for patients identified by the national CMO ruleset, we include the disease group and disease code that resulted in the patient’s addition to the SPL, information to identify the organisation and consultant where a patient had an inpatient stay and diagnosis that resulted in their addition to the SPL, information on organisations that added a patient to the SPL directly, information on recent (within 2020-2021) outpatient appointments that a patient has attended. However, given the vulnerable nature of those on this list, we are asking your practice to take the following specific actions: 1. Ensuring specialists know who their COVID-19 data lead(s) are and how to receive the latest information from them and submit updated information to them, is critical to assuring the currency and accuracy of those patients identified as clinically extremely vulnerable on the national SPL. Updated guidance, please click here for latest information. There’s also extra advice for those at higher risk from coronavirus, which you can choose to follow as well.. You can also find more information for people at higher risk from coronavirus at mygov.scot. Covid-19 shielding guidance for children and young people. Internet Explorer is now being phased out by Microsoft. Easy-read guidance added. They can also be downloaded here: Please ensure you use the correct patient addition letter template for each of your patients. Failing this, contact information can be provided to NHS trust staff by emailing: splquery@nhs.net. As a result, NHS Digital no longer supports any version of Internet Explorer for our web-based products, as it involves considerable extra effort and expense, which cannot be justified from public funds. An updated feed is now being provided to trusts to support with decision making in this context. This image shows the template in the SDCS. Download a letter template for patients assessed as not being at high risk. We recommend that both of these letters are provided to the patient. During week commencing 4 May 2020, risk flags were added to those patient records identified on the national shielded patients list. For both SPL feeds your data team receive each week (where there are both adults and children in your care on the national list), the feeds will include core information including the source of the addition, patient details, practice details, CCG details and trust consultant codes. Your trust data team should be able to provide details of Covid-19 lead(s) for your trust. Adults with Down's syndrome and those with stage 5 chronic kidney disease should be added to the shielded patient list, NHS England has told practices, ahead of the nationwide lockdown this week. People with severe respiratory conditions including all cystic fibrosis, severe asthma and severe COPD. Two lists are provided, one for adults and one for children and young people. You should also notify their renal unit of their inclusion. Updated guidance has also been provided by the Royal College of Paediatrics and Child Health on identifying children who are extremely clinically vulnerable. If you have difficulty installing or accessing a different browser, contact your IT support team. We are asking hospitals to identify patients who are at the highest risk from coronavirus (COVID-19), and submit their details to us, so that they can be added to the shielded patients list (SPL). The lists now also provide the following additional information: For children and young people, an additional field has also been included to indicate whether the patient has an oncology and/or immunodeficiency condition by which they continue to be considered at the highest risk by the RCPCH; this will help you identify children and young people on your list who do not meet these conditions and therefore need their “high risk” status reviewed. Being provided to NHS trust staff by emailing: splquery @ nhs.net at. Trust per day all error messages will be provided either nationally or by the trust adding the patient is action... 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